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$77.97k - $171.06k
Overview JOB DESCRIPTION Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement$141.44k - $212.16k
...lead a key execution component of a critical program focused on Adjustment Reduction and Data Automation, directly tied to key regulatory... ...third lines of defense. Effectively communicate program status, risks, and issues. Regulatory Interaction: Serve as the primary point...RiskFull time$63.59k - $121.53k
...impactful. The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible... ...you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures...RiskContract workWork at officeRelocation package3 days per week$130.88k - $196.32k
...Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide oversight... ..., and enterprise programs to reduce data quality concerns and adjustments. Key Responsibilities: Oversee and challenge the design...RiskFull time$54.55k - $92.06k
...impactful. The Opportunity As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented... ...additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskFull timeContract workH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week- Senior Field Adjuster - Pinellas County (Tampa) Join Windward Risk Managers as a Senior Field Adjuster in Pinellas County (Tampa). Position Summary Investigate routine to moderately complex residential property claims, involving on-site inspections and regular travel within...Risk
- ...and/or deliver a contingency plan for significant aspects of the risk management and/or risk control processes. Develop and/or... ...situation and/or environment and making the appropriate/innovative adjustments to thinking and work habits to thrive in any scenario....RiskWork experience placementWork at officeLocal areaShift work
- Fraud Risk management in Banking. Candidate should have experience in defining the requirements for fraud detection models and rules... ...Testing (UAT) phase as needed Assist with the thresholds adjustments and alert optimization of fraud models Provide regular status updates...RiskContract work
$87.28k - $130.92k
...individual. Responsibilities: Develop recommendations to adjust credit policies by analyzing credit and financial performance... ...credit policies Utilize SAS in a UNIX environment to perform risk, financial and data analysis including profiling, sampling,...RiskPermanent employmentFull timeRemote workWork from home- ...Workplaces in Financial Services & Insurance Construction Defect Adjuster PRIMARY PURPOSE : To investigate and adjust property and... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
$170k - $300k
...Reg Change, Issue Mgmt., TPM, MRM, EUC). Impact Assessment & Risk Mitigation: Lead impact assessments for significant changes... ...plans, ensuring delivery against defined success criteria and adjusting strategies as needed to achieve optimal outcomes. Metrics &...RiskFull timeRemote workWork from home$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$208k - $312k
...we're redefining cybersecurity and leading the charge in human risk management. We protect businesses from evolving threats, and you... ...won't affect your application. If you require any adjustments or accommodations due to a disability, or any other reason that...RiskLocal area$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area- ...~ Life/ Disability-Company paid ~ Full Support Staff ~ CME Allowance ~ DEA & State License Paid ~ Training on accurate risk adjustment coding ~ Training on Medicare appropriate quality of care (STARS) program ~ Minimal or no on-call after hours or weekends...RiskFull timeWork at officeMonday to Friday
- ...Data Risk Officer, Risk Appetite Planning, Metrics and Analysis - Vice President Operational Risk Management (ORM) is an enterprise... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....Risk
$103.92k - $155.88k
Note: This employer is open to candidates who want to work remote. The Liquidity Risk Management Lead Analyst is an individual contributor within the Liquidity Management function of Treasury Organization. The individual will be responsible for managing the liquidity position...RiskFull timeRemote workWork from home$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement- ...Description: Join our dynamic Enterprise Risk Management (ERM) Group as we seek an experienced Operational Risk Management Officer to shape and enhance our Second Line Operational Risk function. This pivotal role demands significant banking industry experience, a...RiskWork experience placement
- ...Working with the TM Business Executive and peers from TM Product, Risk and Customer Experience on the Overall management,... ...the profitably of our current customer base – making necessary adjustment to fees and account features. Active participation in projects...RiskWork at office
- ...Overview Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide oversight and aggregation of operational risk. Its mandate covers all business lines (US Personal Banking, Global Wealth Management...Risk
- Description Based within the Enterprise Risk Management (ERM) Group, the Operational Risk Officer leads the build-out and evolution of the Bank's Second Line Operational Risk function. This role requires deep banking industry experience, strong theoretical and practical...RiskWork experience placement
$139k - $171k
...Summary: This role is part of the CISO of Americas team, focusing primarily on the Enterprise Information Systems Governance, Risk, and Compliance team. The role involves managing complex areas such as Policy Management, Cybersecurity Controls and Reporting, and...RiskWork at officeRemote work$78k - $88k
Job Details Department: Claims Administration & Adjusting Location: Lakewood Ranch, FL Compensation: $78,000 - $88,000 / year Our Story... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork at office- ...prevention counseling and case management referrals to clients at risk for or diagnosed with chemical dependency or co-occurring... ...close vision, distance vision, peripheral vision and the ability to adjust focus. For more information please contact : Ben Dollar...Risk
- ...Join our dynamic team to navigate complex risk landscapes and fortify technology governance, making a pivotal impact in our firms robust risk strategy. As a Compliance and Operations Risk Test Lead in the Testing Center of Excellence, you will play a pivotal role...Risk
- ...Description Bring your expertise to JPMorgan Chase. As part of Risk Management and Compliance, you are at the center of keeping... ...corresponding inherent risks and mitigating controls. Recommend any adjustments required to meet JPMC policy, regulatory requirements, and...Risk
- ...Field Adjuster Trainee Are you passionate about a career in P&C Insurance? If you've recently acquired an Adjuster's license and are... ...areas of the property, identify damages, properly document the risk and estimate the damages identified Working Conditions This...RiskTemporary workTraineeshipWork at officeImmediate startFlexible hours
- ...operational efficiencies, streamline treasury processes, simplify payments, improve working capital performance, and mitigate financial risk. At Scotiabank, we embrace your strengths, ideas, and ambitions. GTB is a fast-growing team with a focus on the Americas,...RiskLocal areaFlexible hours
- ...service operations. General Summary We are seeking an experienced Risk & Insurance Manager to join our team and provide strategic... ...the primary contact for property insurance claims, working with adjusters and internal teams to manage and resolve losses effectively. Broker...RiskFull timeContract workWork at office


